Spinal fusion, single level (inpatient stay)
Facility: Sacred Heart Hospital
Billing Code: 451 (MS-DRG)
This hospital's typical commercial price is $19,000 compared to the $27,971 fair price benchmark.
4-Star CMS clinical quality rating paired with 0.68× fair market pricing.
One of the lower prices — 6 of 8 other FL hospitals charge more for the same procedure.
Black dot = this hospital, among the 9 FL hospitals with a price for this procedure. Full list below.
A fair price for a Spinal fusion, single level (inpatient stay) is about $27,971 (about 1.2× the $23,504 Medicare rate). Sacred Heart Hospital charges insurers about $19,000 — below the fair price — a good deal. Located in Pensacola, FL.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $16,961 - $20,463 | 72% |
| Blue Cross Blue Shieldmajor | $10,172 - $19,155 | 43% |
| Aetnamajor | $7,300 - $20,868 | 31% |
| Cignamajor | $10,470 | 45% |
| Humanamajor | $20,868 | 89% |
| Ambetter (Centene) | $33,429 | 142% |
| Cigna HealthSpring | $20,665 | 88% |
| Oscar Health | $32,416 | 138% |
| WellCare | $20,260 | 86% |
| + 5 smaller / regional plans | $10,815 - $45,585 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Sacred Heart Hospital
Compare: Spinal fusion, single level (inpatient stay) at other FL hospitals
- Ascension St Vincent's St Johns County · St. Johns $16,012
- Ascension Sacred Heart Bay · Panama City $18,512
- Ascension Sacred Heart Gulf · Port Saint Joe $19,061
- Sacred Heart Hospital on the Emerald Coast · Miramar Beach $19,069
- Ascension St Vincent's Southside · Jacksonville $19,499
- Ascension St Vincent's Riverside · Jacksonville $19,683
- Ascension St Vincent's Clay County · Middleburg $19,693
- Gulf Breeze Hospital · Gulf Breeze $21,797
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Sacred Heart Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $16,553
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $16,553).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Sacred Heart Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $27,971 Fair BaseRate ($23,504 Medicare)
Your bill ($45,600) is $17,629 above the denoised Fair BaseRate ($27,971) and 1.9× the $23,504 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.